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Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position

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Standard

Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position. / Dippmann, Christian; Winge, Søren; Nielsen, Henning Bay.

I: Arthroscopy: The Journal of Arthroscopy and Related Surgery, Bind 26, Nr. 9 Suppl, 01.09.2010, s. S148-50.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Dippmann, C, Winge, S & Nielsen, HB 2010, 'Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position', Arthroscopy: The Journal of Arthroscopy and Related Surgery, bind 26, nr. 9 Suppl, s. S148-50. https://doi.org/10.1016/j.arthro.2010.03.012

APA

Dippmann, C., Winge, S., & Nielsen, H. B. (2010). Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position. Arthroscopy: The Journal of Arthroscopy and Related Surgery, 26(9 Suppl), S148-50. https://doi.org/10.1016/j.arthro.2010.03.012

Vancouver

Dippmann C, Winge S, Nielsen HB. Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position. Arthroscopy: The Journal of Arthroscopy and Related Surgery. 2010 sep 1;26(9 Suppl):S148-50. https://doi.org/10.1016/j.arthro.2010.03.012

Author

Dippmann, Christian ; Winge, Søren ; Nielsen, Henning Bay. / Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position. I: Arthroscopy: The Journal of Arthroscopy and Related Surgery. 2010 ; Bind 26, Nr. 9 Suppl. s. S148-50.

Bibtex

@article{7c09f96cb22b43129300ed3b887a605d,
title = "Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position",
abstract = "During shoulder arthroscopy in the beach-chair position, cerebral ischemia may be a serious complication because prolonged hypotension may affect regional cerebral oxygen supply. We present the cases of 2 patients in whom a reduction in mean arterial pressure after anesthesia provoked a decrease in frontal lobe oxygenation to below the level that causes presyncopal symptoms in the awake subject. In the healthy middle-aged patient, cerebral oxygenation decreased by approximately 40{\%}, indicating that cerebral blood flow was markedly reduced, and intravenous administration of ephedrine rapidly restored cerebral oxygenation. During surgery in the beach-chair position, hypotension must be avoided, and in all patients regional, cerebral oxygenation should be monitored and optimized.",
author = "Christian Dippmann and S{\o}ren Winge and Nielsen, {Henning Bay}",
year = "2010",
month = "9",
day = "1",
doi = "http://dx.doi.org/10.1016/j.arthro.2010.03.012",
language = "English",
volume = "26",
pages = "S148--50",
journal = "Arthroscopy: The Journal of Arthroscopy and Related Surgery",
issn = "0749-8063",
publisher = "W.B.Saunders Co.",
number = "9 Suppl",

}

RIS

TY - JOUR

T1 - Severe cerebral desaturation during shoulder arthroscopy in the beach-chair position

AU - Dippmann, Christian

AU - Winge, Søren

AU - Nielsen, Henning Bay

PY - 2010/9/1

Y1 - 2010/9/1

N2 - During shoulder arthroscopy in the beach-chair position, cerebral ischemia may be a serious complication because prolonged hypotension may affect regional cerebral oxygen supply. We present the cases of 2 patients in whom a reduction in mean arterial pressure after anesthesia provoked a decrease in frontal lobe oxygenation to below the level that causes presyncopal symptoms in the awake subject. In the healthy middle-aged patient, cerebral oxygenation decreased by approximately 40%, indicating that cerebral blood flow was markedly reduced, and intravenous administration of ephedrine rapidly restored cerebral oxygenation. During surgery in the beach-chair position, hypotension must be avoided, and in all patients regional, cerebral oxygenation should be monitored and optimized.

AB - During shoulder arthroscopy in the beach-chair position, cerebral ischemia may be a serious complication because prolonged hypotension may affect regional cerebral oxygen supply. We present the cases of 2 patients in whom a reduction in mean arterial pressure after anesthesia provoked a decrease in frontal lobe oxygenation to below the level that causes presyncopal symptoms in the awake subject. In the healthy middle-aged patient, cerebral oxygenation decreased by approximately 40%, indicating that cerebral blood flow was markedly reduced, and intravenous administration of ephedrine rapidly restored cerebral oxygenation. During surgery in the beach-chair position, hypotension must be avoided, and in all patients regional, cerebral oxygenation should be monitored and optimized.

U2 - http://dx.doi.org/10.1016/j.arthro.2010.03.012

DO - http://dx.doi.org/10.1016/j.arthro.2010.03.012

M3 - Journal article

VL - 26

SP - S148-50

JO - Arthroscopy: The Journal of Arthroscopy and Related Surgery

JF - Arthroscopy: The Journal of Arthroscopy and Related Surgery

SN - 0749-8063

IS - 9 Suppl

ER -

ID: 34164382